Individual provider Active NPI

Robert W Morrow III, MD

  • Internal Medicine Physician
  • Spring Valley, IL
National Provider Identifier
1295747137
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100140 Issued in IL
Practice address
600 E 1St St
Spring Valley, IL 61362-1512
Phone
(815) 663-2811
Fax
(815) 664-5001
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036100140 IL Primary

Addresses

Primary practice location

600 E 1St St
Spring Valley, IL 61362-1512

Mailing address

600 E 1St St
Spring Valley, IL 61362-1512
Phone (815) 663-2811

Other identifiers 1

IdentifierTypeStateIssuer
036100140MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000050 IL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8820005275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Southern Illinois University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendota Community Hospital 51 clinicians

Practice addresses (Care Compare)

1405 E 12TH St
Suite 600
Mendota, IL 61342-9012
Phone (815) 538-7200

Hospital & facility affiliations

  • Osf Healthcare Home Care Home health agency, Loves Park, IL, CCN 147271
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mendota Community Hospital CurrentSince Jun 19, 2023 Accepting new patients
Mendota Community Hospital CurrentSince Jun 19, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Osf Multi-Specialty Group Internal Medicine Past Accepting new patients

Locations

1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200

1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825

1650 Midtown Rd
Peru, IL 61354
Phone (815) 220-1122

415 E 2nd St
Spring Valley, IL 61362
Phone (815) 221-1340

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1295747137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-663-2811",
            "fax_number": "815-664-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 1ST ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621512",
            "telephone_number": "815-663-2811",
            "fax_number": "815-664-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, IL

Sources for this page

Verify at the official NPI Registry.